Brooks Michael Larson, D.D.S.

NPI #1144468133 in Brea, California

Provider Information

NPI Number: 1144468133
Entity Type: Individual
Name: Brooks Michael Larson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 28, 2009
Last Updated: Jan 12, 2010

Practice Location

Address: 235 S FLOWER AVE
City: Brea
State: California
ZIP Code: 92821-4945
Phone: (714) 256-9332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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